<100, thrombus and embolism
amiodorone, metoprolol, cardizem, digoxin
multaq
radiofrequency catheter ablation Correct Answers Long-Term
Management for Persistent A Fib:
Goals: Slow ventricular rate to ______________ and prevent
_______________ &______________ formation
Control rate and rhythm with antiarrhythmics:
-
______________,______________,_________________,_____
_____________
-New drug now used:________________
-Anticoagulation therapy: ASA, Lovenox, Coumadin, Heparin
-Do ______________________________ in EP lab, r/o clots
first
<18
hypoxemia
pao2
respiratory alkalosis to acidosis
diffuse bilateral pulmonary infiltrates Correct Answers
Diagnostics for ARDs:
-PCWP: ___________________
-Refractory _________________
-Decrease _______________ (less than 50-60 with supplemental
supply)
,-ABG: ______________ to ___________________
-CXR:________________ (white out)
<50
>50
<7.35
<10
<25
<10 Correct Answers Indications for Mechanical Ventilation
with Respiratory Failure:
PaO2: ______________
PCO2: _____________
pH:___________
Vital Capacity: ___________
Neg. Inspiratory Force:____________
FEV1:___________________
-Apnea or bradypnea
-Respiratory distress with confusion
-Increased WOB not relieved by interventions
-Confusion with need to protect airway
-Circulatory shock
10-14
positive
layngoscope
carina Correct Answers The endotracheal tube is a short term
(_________ days) artificial airway
-Delivers ______________ pressure
-Protects airway
-Inserted with the aide of a ____________
-Rests 1-2 cm above ____________ (bifibrication of brochus)
,100% O2 and PEEP
permissive hypercapnia
pco2
bicarb
nitric oxide
prone Correct Answers ARDs Nursing and Medical
Management:
-Correct underlying disorder
-Mechanical ventilation: _________________________
-To minimize barotrauma, ____________________
---Low tidal volumes and low peak pressures increase
____________
---Give ____________ to correct acidosis
-Inhaled _______________ to dilate pulmonary vessels
-For severe hypoxia position in ____________________ to
allow air to rise to a depressed aveoli
12 lead Correct Answers Type of ECG Monitor:
-Identifies myocardial ishemia and infarction
-Evaluates rhythm and conduction abnormalities
-Detects chamber enlargement
-Need to further assess electrolyte disturbances and drug toxicity
-Provides baseline assessment
-Only typically views left ventricle
-Difficult to see anterior side of heart to evaluate for damage
-Patient has to be still to attain clear image
12 lead Correct Answers Type of ECG Monitor:
, Reflects the electrical activity primarily in the left ventricle,
placed at the patients side for immediate recording
-6 electrodes on chest & 4 electrodes on limbs
--Place on areas that aren't bony and do not have significant
movement
15 min, pulse ox, ABGs
diaphragmatic and pursed lip breathing
30-40 degrees
emphysema
petroleum gauze
> 100
bright red to serous
bright red Correct Answers Client with Chest Drainage
System: Nursing Interventions:
- Repiratory assessment: VS q_________, __________&
_______
-Teach ______________ & ____________
-Elevate HOB ___________, go from flat to semi-upright ASAP
-Assess around insertion site for crepitus, give SUBQ
____________ if necessary
-Change dressing q 48-72 hrs w/ ______________________
-Monitor and record drainage:
---Notify Dr. if ____________
---Color should go from _____________________
----Notify Dr. if color is _______________
-Monitor for S&S of infection
21-100
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